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Okaloosa County BOCC — July 21, 2015 — ANDERSON COLUMBIA (C14-2084-PW) — reading text
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CONTRACT & LEASE INTERNAL COORDINATION SHEET
)
Contract/Lease Number:__(_ Y ~ )XY - Tracking Number:_/ 70 -] §
; - Grant Funded: YES NO)&
Contractor/Lessee Name: ‘Af)G}?/L Yo, ( A
Purpose nO 4 m/
Date/Term: q‘,’ Bd ')) (/ i E GREATER THAN $50,000
Amount: fi5’1501 W/U 2. L] GREATER THAN $25,000
Department: PVU 3. [] $25,000 OR LESS
Dept. Monitor Name: @‘(«LH e
Document has been reviewed and includesép) attachments or exhibits.
Purchasing Review
Pro b
Date: 7’/3 ’/é
Pufl\asingfi)‘i Joanne Kublik or Sunnie Estes
Risk Management Review
Approved as written:
' Date:
Risk Manager or designee Laura Porter or Krystal King
County Attorney Review
Approved as written:
WWVKM |
County Attorney Gregory T. Stewart or Lynn Hoshihara
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager
Joanne Kublik
From: Laura Porter
Sent: Thursday, June 25, 2015 8:17 AM
To: Joanne Kublik; 'Parsons, Kerry'; Lynn Hoshihara
Subject: RE: Anderson Columbia Renewals
Approved by Risk Management.
Iaura flsorter
Risk Manager
Okaloosa County Board of County Commissioners
(850) 689-5977 Fax: (850) 689-5973
Please note: Due to Florida's very broad public records laws, most written communications to or from
County employees regarding County business are public records, available to the public and media upon
request. Therefore, this written e-mail communication, including your e-mail address, may be subject to
public disclosure.
From: Joanne Kublik
Sent: Thursday, June 25, 2015 7:23 AM
To: 'Parsons, Kerry'; Lynn Hoshihara; Laura Porter
Subject: Anderson Columbia Renewals
Please review these renewals. Both contract links are below. Thanks, Jo
http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra pdf/C14-2084-PW.pdf
http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra pdf/C14-2091-PW.pdf
Joanne Kublik, Contracts and Lease Coordinator
Okaloosa County Purchasing Department
602-C North Pearl Street
Crestview, Florida 32536
(850) 689-5960
jkublik@co.okaloosa.fl.us
Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County
business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail
address, may be subject to public disclosure.
Joanne Kublik
From: Parsons, Kerry [KParsons@ngn-tally.com]
Sent: Thursday, June 25, 2015 7:04 PM
To: Joanne Kublik; Lynn Hoshihara; Laura Porter
Subject: RE: Anderson Columbia Renewals
Approved for legal purposes.
From: Joanne Kublik [mailto:jkublik@co.okaloosa.fl.us]
Sent: Thursday, June 25, 2015 8:23 AM
To: Parsons, Kerry; Lynn Hoshihara; Laura Porter
Subject: Anderson Columbia Renewals
Please review these renewals. Both contract links are below. Thanks, Jo
http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra_pdf/C14-2084-PW.pdf
http://www.co.okaloosa.fl.us/sites/default/files/contracts/contra_pdf/C14-2091-PW.pdf
Joanne Kublik, Contracts and Lease Coordinator
Okaloosa County Purchasing Department
602-C North Pearl Street
Crestview, Florida 32536
(850) 689-5960
jkublik@co.okaloosa.fl.us
Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County
business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail
address, may be subject to public disclosure.
CONTRACT/LEASE RENEWAL FORM
Date:May 19, 2015
Company: Anderson Columbia
Attn: Kevin Wall
Address: 1301-C West Hwy 90
City, St, Zip: Holt, Florida 32564
RE: Contract renewal C14-2084-PW
Dear Mr. Wall
The Okaloosa County Board of County Commissioners agrees to renew the subject
contract/lease, #.C14-2084-PW for an additional term. The contract renewal
period will be 10/1/15 to 9/30/16 . The annual budgeted
amount for this contract is $250,000 . All other terms and conditions of the
original agreement shall remain in full force and effect through the duration of this
renewal.
If you are in agreement, please sign below and return this form along with a current
Certificate of Insurance listing Okaloosa County as co-insured (if applicable).
COUNTY REPRESENTAJIVES AUTHORIZED COMPANY REPRESENTATIVE
Dept. Director § Contractor:_Anderson Columbia Co., Inc.
Signature:
4
— M
Approved By: Approved By: %W h
(as prescribed below gn item 1) il ¥ *
Date: éééé/’/(
Approved By: Title:___Vice President
(as prescribed below on item 1)
Date: Date: 6-11-2015
County Department Instructions:
1) Obtain signatures from Department Director, authorized Company Representative and then
2)
3)
Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as
necessary. If Board approval is required, the Chairman and County Administrator's signatures
are required. Make sure the company provides a current Certificate of Insurance. (If
applicable).
Keep a copy of this form for your records.
Send original to Purchasing Services Coordinator.
If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850-
689-5998.
